Active NPIIndividual providerSole proprietor

Dr. John Evangelista, DPT

Physical Therapist in Mount Laurel, New Jersey

NPI Number1134469208
Practice location
523 Fellowship RD Ste 290, Mount Laurel, NJ 08054-3418
Fax
856-424-5559
Last updated
July 7, 2022

John Evangelista is a Physical Therapist based in Mount Laurel, NJ. John Evangelista practices in Mount Laurel, NJ and has the professional credentials of DPT. The NPI Number for John Evangelista is 1134469208 and holds a License No. 40QA01477000 (NJ). The current practice location address for John Evangelista is 523 Fellowship RD Ste 290, Mount Laurel, NJ 08054-3418 and can be reached out via phone at 856-424-5552 and via fax at 856-424-5559.

Provider Profile Details

NPI Number
1134469208
Provider Name
John Evangelista
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
523 Fellowship RD Ste 290, Mount Laurel, NJ 08054-3418
Phone Number
856-424-5552
Fax Number
856-424-5559
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2013
Last Update Date
July 7, 2022
Certification Date
July 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
523 Fellowship RD Ste 290
Mount Laurel, NJ 08054-3418
Zip
08054-3418
Phone Number
856-424-5552
Fax Number
856-424-5559
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
523 Fellowship RD Ste 290
Mount Laurel, NJ 08054-3418
City
Mount Laurel
State
NJ
Zip
08054-3418
Phone Number
856-424-5552
Fax Number
856-424-5559

License Information

License Number
40QA01477000
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John Evangelista, DPT?

The NPI number of Dr. John Evangelista, DPT is 1134469208. It was assigned on February 26, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. John Evangelista, DPT?

Dr. John Evangelista, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01477000.

Where does Dr. John Evangelista, DPT practice?

The practice location is 523 Fellowship RD Ste 290, Mount Laurel, NJ 08054-3418. The office can be reached at 856-424-5552 (phone) or 856-424-5559 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134469208 directly on the NPPES registry website.

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